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- Authorization To Request And/or Release Member ... - HMSA.com
Get Authorization To Request And/or Release Member ... - HMSA.com
SE SPECIFIED) Last Name First Name MI Address City State Email Home Phone # ( ) Cell Phone # ( ) Birth Date HMSA Subscriber Number(s) (Located on your membership card) ZIP Code / / PART B: REQUEST TYPE (Choose only one request per form) Request to Have HMSA Receive Information This allows HMSA to obtain information from the person or organization indicated in Part C of this form. Request to Have HMSA Send Information This allows HMSA to send copies of i.
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Authorizing FAQ
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The Hawaii Medical Service Association (HMSA) is a member of the Blue Cross Blue Shield Association, an association of independent medical insurance providers. A nonprofit, mutual benefit association founded in 1938, HMSA covers more than half of the state's population.
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You can find out what plan you have simply by looking at your HMSA membership card. Consult your Guide to Benefits to find out what your plan covers.
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HMSA's Online Care virtual doctor app connects you to the best doctors on demand, from anywhere in Hawaii.
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Preferred Provider Plan - A medical plan that combines the benefits of basic medical coverage and comprehensive major medical coverage in a single plan.
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If you have questions, email cws@hmsa.com or call HMSA's Consumer Web Support team at 1-800-720-1344 toll-free. If you email us, please include a phone number so our support team can call you back.
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You may request duplicate HMSA membership cards online. Just log on to My Account , hover over Profile, and click Request membership card. You'll receive a duplicate card within 10 business days.
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Follow the instructions below to fill out Hmsa cancellation form online quickly and easily: Log in to your account. Log in with your credentials or register a free account to test the service before choosing the subscription. Import a document. ... Edit Hmsa cancellation form. ... Get the Hmsa cancellation form completed.
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